Tag: pain

One Step at a Time

by Jody, posted in how to begin, painscience, tools - breath, tools - movement

Whew. These last few weeks, months, or years have really been a lot, haven’t they?

You may or may not have noticed, but other than Monday it has almost been a year since writing my last blog post here, “Maybe there’s time to rest”. I guess a rest, break or pause was needed.

How about you? Have you been able to find some rest, take a break from it all?

And Monday was also the first time I’ve been out for a walk in almost a month. If you know me at all, this is usually a daily occurrence. Out in nature, looking at the trees, taking in the fresh air – all of that. With ice and snow still on the ground, I joined a gym where I will walk on a treadmill for the time being.

Why the change of scenery?

I had a bad fall. On the ice and snow in our driveway. I thought I may have broken or cracked some ribs, but x-rays ruled that out. Still, progress of any kind of movement has been slow. Any plans of walking, skating, or skiing tossed aside.

This also brought forward personally, what we can all expect to experience from time to time – that being, feeling, experiencing pain. Much of what I teach and talk about with others, now applied (once again) to my own situation.

Immediately, how I moved during the day changed. What I was able to do changed. My thoughts around going outside changed. My worries about healing, how long it would take – all of it changed.

Luckily, my beliefs and understanding about my body didn’t. First, landing firm and hard on my torso with a steel water bottle right where my sternum is, reaffirmed my belief that these bones of ours are generally pretty robust. Particularly, those protecting our precious heart and lungs.

My breath changed. I often held my breath, trying to create stability particularly when I had to bend over or get up. I physically ‘held my body’, when sneezing or coughing to try and decrease the pain.

How I moved changed. I found ways to do things in a way that was not natural or normal to me in order to work-around the pain. When outside, I took very small, slow and guarded steps.

Mostly, I didn’t move a lot which is not great for me or anyone, really. I couldn’t clean the house (that might be a positive….). Many of my daily routines were put on hold. But the worst part by was not being able to go outside for a walk.

I’ve given it some time, almost a month now, and though there is still some pain or discomfort I am determined to get moving again. I also wanted to start lifting weights … but it may still be too much to work on my upper body, so I’ll instead do some lifting, pressing or pulling with my lower body. Not sure how that will go as I do still feel tension in my ribcage when exerting too much. We shall see.

Generally though, I know getting back to doing what is most important to me is the first and most vital thing I can do.

Pain doesn’t just change your body. It changes so much about your life. It’s by exploring all of these things, these changes, and slowly over time re-calibrating, re-patterning them, will help to change it back again.

Will it take longer, if you’re habits and patterns have been different for a while now? Maybe it’s been years that you’ve experienced pain. It’s good to know, however, that sensors/detectors around neurons in your body change every 3-4 days so with consistent practice it’s likely you’ll notice a change in sensitivity or pain, often within 8 weeks.

If someone I’m working with is experiencing really bad pain I might suggest they visualize movement. Or maybe there’s a particular area that is painful, so we’ll often begin somewhere else that’s not painful. I might suggest they begin by just moving their hands. Opening, closing, opening, closing fingers to palms, alongside an easeful breath. By giving your body and your brain a new (pain-free) experience these ‘painful’ patterns can be disrupted. There’s a lot more science to all of it, but I won’t bore you with it. (I try now to only do that to family and friends who have to listen.)

With spring around the corner, I so want to be ready for it. It’s not always easy taking steps forward. But in my mind, so worth it!

How about you? What is it you REALLY want to do? And how might I help you with that?

Curious to know how we can work together?

learn more

Planting Seeds

by Jody, posted in Uncategorized

As Spring is often a time of new beginnings, I’m wondering if you’d like to explore something with me.

At least I think Spring is on the way. If I keep focused on this thought, perhaps it will soon be true. As I look outside my window today we still have heaps and heaps of snow all around.

On Thursday March 10th at 1:00pm ET I’m offering a FREE webinar all about getting curious about this thing called pain.

The experience of pain. What it is. Why it seems so confusing, frustrating. Why it can be so hard to change.

It’s not going to be about giving you all the answers. Rather just to plant some seeds. Maybe sprinkle in a few questions, some of the ways it is different for each of us. What you might consider, in terms of your own unique experience of pain.

I’ve scheduled an hour for the zoom call, but it may not go that long depending on any discussion or questions you may have. If you can’t attend, you will still be able to access the recording the following day.

I hope you’ll join us.

learn more or to register

You’re not sleeping either?

by Jody, posted in painscience, science, tools - rest
woman in red long sleeve shirt sitting on chair while leaning on laptop
Photo by Andrea Piacquadio on Pexels.com

Did you know “chronic insomnia is highly prevalent and affects approximately 30% of the general population?” 1

Or, that “approximately 40% of adults with insomnia also have a diagnosable psychiatric disorder – most notably depression?” 2

That “sleep complaints are present in 67-88% of chronic pain disorders?” 3

I was aware of the third statistic, that sleep can be a contributing factor for people living with chronic pain. But why my interest in sleep, generally? I had (mostly) been a good sleeper yet started to experience disruptions to my sleep patterns over the past few years. Along came menopause and similar to many others I found myself in a cycle of wakefulness around 2, 3, 4 in the morning and went looking for solutions.

Last fall, however, something else happened. On a Facebook page I belong to, the subject of sleep was brought up. Well, the lack thereof.

I was curious if it was only menopausal women who were struggling with sleep, so I created a random poll. Within an hour or so, there were hundreds of responses.

  • 404 responses
  • 74 comments about issues with sleep.
  • 224 neither menopausal or perimenopausal
  • 95 perimenopausal
  • 51 menopausal
  • 34 ‘other reasons’

Clearly a problem for many but I was surprised to learn that it wasn’t only my age group challenged by this issue. The poll wasn’t scientific and could just reflect the ages of people in the Facebook group. Yet, wow!

Of course people will at times need specific diagnosis, treatment and care from healthcare professionals. Yet, digging into some of the research and after some of the behavioral or environmental factors are addressed with general sleep hygiene information, a lot of what affects sleep has to do with stress and the nervous system (and other systems… circadian, homeostasis, etc.). Which you can learn to influence and modulate.

Would you be interested in exploring this thing called sleep? Safely, gently, with compassion and care you’ll get to experience and learn what might be helpful for you. In your own home, cozy in your pajamas … having some time and space to do so.

A 4-week workshop Rest & Restore: Strategies for Sleep starts Feb 16th!

What are the many factors or contributors that affect sleep? What does the research tell us? What can you do during the day, that will affect your sleep at night? What can you do when waking up from sleep? How might you find some rest in the day, if your sleep wasn’t that great?

If you’d like to join in, registration is now open.

Click here for more info or to register

I’ve tried to make it affordable at just $20 each week. If finances are really tight, reach out to me at info@yogatoolsforlife.com. If finances are plentiful, please reach out as well and look to sponsor someone else.

I’d love for you to join in. Experience and learn what might can be helpful, for you.

References:

1. Roth T. Insomnia: definition, prevalence, etiology, and consequences. J Clin Sleep Med. 2007;3(5 Suppl):S7-S10.

2. Roth T. Insomnia: definition, prevalence, etiology, and consequences. J Clin Sleep Med. 2007;3(5 Suppl):S7-S10.

3. Finan PH, Goodin BR, Smith MT. The association of sleep and pain: an update and a path forward. J Pain. 2013;14(12):1539-1552. doi:10.1016/j.jpain.2013.08.007

What goes unnoticed?

by Jody, posted in mindfulness

It surely does not look like this out my window today. I have yet to venture out into the snow that landed over night but I will at some point. You see, I find great pleasure in being outside in the fresh, crisp air but also as nature helps me with the practice of noticing the subtle, or smallest things.

Which can be really helpful if you’re someone who lives with pain.

If we understand pain to be a protective system, it makes total sense that pain wants your attention. The most important thing for your brain to focus on ALL DAY LONG long is keeping you safe and alive. Top priority. Your brain is constantly monitoring all the systems in the body, slowing things down, speeding things up, secreting hormones and enzymes, adjusting the nervous system to respond to what is required in any given moment. Telling you when to sleep, to drink, to eat, to move. Providing messages, clues.

Throughout the day you may notice when you are in pain. For some people this may be, or feel like, it’s all day long. 24/7. But I suspect for many there are times when you don’t feel pain. Moments, minutes or days perhaps.

I wonder if you might notice when you don’t experience pain.

I invite you to notice those moments. And get curious. Why, perhaps, are you not experiencing pain just now? This practice of noticing, provides clues.

What makes your day, your life, feel more easeful? Safe, perhaps. Comfortable, pleasurable. Less painful.

Spend some time, noticing that. I’d love to hear how it goes.

If this is something you’re interested in exploring, I offer private 1:1 sessions via Zoom. Click here, for more information or arrange for a free 15-min conversation.

#daytimepractice #daytime #noticing #painsystem #chronicpain #easeful #comfort #pleasure

How might you find support?

by Jody, posted in proprioception

“When we ‘find’ our bones and allow them to assume a supporting role, muscles can start to relax. It is in the ‘undoing’ of muscles that freedom in the joints is found – and with it, greater ease in movement.” Peter Blackaby, Intelligent Yoga

How might you explore this and how might it help in finding more ease in your life, less pain, or fatigue?

  1. Try noticing if you’re holding tension or contracting a muscle that’s not required for whatever it is you’re doing. So for example, I often suggest a person balance on one leg and notice if this creates any noticeable tension in their upper body, or jaw in order to do so. Obviously you don’t need your jaw muscles to contract to stand on one leg, but might this happen without you being aware of it?
  2. How might you learn to release this? To relax, let go of what’s unnecessary. I think it can often be more helpful to imagine softening, rather than ‘letting go or relaxing”. How often have you been told to “just relax….”. Easier said than done.

One of my teachers used words suggesting this relaxed tone in our tissues “might feel like the texture of a soft, ripe peach.” Or I can imagine how the muscle tone feels in a baby or young child compared to what I notice in myself at times.

Try this.

Make the biggest smile you can. Big, huge cheeks. Feel the tissue around your cheeks, maybe your throat, neck and perhaps even your shoulders. Just notice. Or clench your mouth, teeth really hard. Now, let your jaw hang loose. Open your mouth. Feel around again. Notice the difference.

Or this.

I’ll often suggest people lay down on the floor to rest. Not your bed, not the sofa, but the floor.

Why is that?

When you lay on the floor it’s usually easier to feel the support of the ground below, in contact with your bones. So you might feel your head supported, shoulders, pelvis, legs and feet. See if you can notice that and does this allow your muscles to soften a little? This can be really hard to do. Something you might try is to first tense or contract a muscle (like we did above) and then release it so you can notice the difference.

The first step however, is just in noticing. Like anything, by practicing this you’ll often be able to sense more easily when there is tension ‘held’ in your muscles that you’re not aware of. Tension that might contribute to other changes in your body and likely fatigue, over the longer term. How might that influence pain?

The second step might then be, how to find support. Curious to explore this further?

Creating New Pathways: change your pain, change your life begins this Wednesday, July 22nd. For more information or to register:

more info here

Nourishing, Responsive Breath

by Jody, posted in tools - breath

I could really go on and on about breath, from many different angles and actually have been sent down the rabbit hole for a few days now wondering how I might approach this, in a single blog post.

Our breath, the in-breath and the out-breath happen quite naturally, right?  Of course, they do. It is one of the most important things necessary to our survival. We do not have to think about it. It is just one of the many wonderous systems in our body, working behind the scenes.

However, if you look at how a baby breathes, and how many of us older folks breathe, you might notice a difference. How in babies and young children it almost seems like their whole body moves when they breathe. How their big, soft bellies expand with each inhale. For us, often, not so much.

What’s different?

There could be a whole mess of reasons, but the one I’ll explore here is one you’ve perhaps been exploring over the past week.

Muscular tension might be involved when we hold our breath, or when it doesn’t flow so freely.

What might create this tension?

Last week, I suggested you might explore ordinary movements  you do in a day (like making your bed, maybe it’s vacuuming, perhaps while brushing your teeth) and are they perhaps a little beyond what feels easeful for you? It might be the way you feel while doing something, when rushed. When it feels like there’s not enough time and space to do so (maybe when you’re eating, for instance). Tension might have something to do with your thoughts and emotions. The context in which you live, the people you connect with, while talking, using (or not using) your voice.  

Generally, muscles and tissues may become strained, fatigued over time if they are recruited, or over-recruited, ‘switched on’ a lot. We may not be aware of this, particularly if ongoing over a long period of time. It often becomes our usual ‘pattern’ rather than what might be a responding or releasing (and relaxing) as required.

There are also some areas of the body where this tension might get in the way of a full, easeful, ‘natural’ breath we see in a baby. I think of the stomach or belly area for one. How many people unconsciously hold or constrict in this area for a multitude of reasons? This, which happens to be the area containing your primary breathing muscle, the respiratory diaphragm. Or might someone hold tension unconsciously in their pelvic floor (diaphragm) muscles, again for a variety of reasons?  I think of all those ‘core exercises’ we’ve been told are good for us or how often women socially, culturally, ‘suck in their stomach. Or perhaps you’ve been told to do kegels at one time or another, or hold, strengthen or tighten up your pelvic floor muscles. Which may be useful. Or maybe not.

Both diaphragms are meant to move with each breath yet with tension and tightness in one or both, might this change how we breathe?

Holding tension might not allow for a full, deep breath such as when our respiratory diaphragm moves down, creating the in-breath. Maybe, we hold tension in the pelvic floor, without realizing it and again, not allowing for optimal breath.

Now, think about what is more important to our body, to our brain, but breathing. And how this regular intake of oxygen not only provides nourishment our body needs to survive, but it also forms or influences our physiological state. For instance if we are under threat, or even perceived threat there are immediate changes to our physiology, including our breath, that takes place to aid in our survival.

Which is all great when we’ve broken a bone, need to pull our hand away from fire, stay clear of toxic fumes or something similar. Back in the old days, we would need all our senses, these sensations, to help us stay clear of dangerous predators like tigers and the like.

What happens now though, is often we are unaware of:

1. The threats (real or perceived) that we encounter on a daily basis. These aren’t likely threats like running from tigers, but threats in terms of our relationships, our jobs, our finances, our communities, our environment. How much of the news do you see, threatens your sense of safety? Does this create a sense of tension, stress, holding of your breath perhaps, in your body?

2. The response of your nervous system and subsequent physiology that accompanies this. You may have read that stress is not good for the immune system, for your mental health, etc. but there are also effects on other areas or systems that occur including your pain system. If pain is meant to protect you, yet you ‘feel’ threatened, stressed, and tense might that turn UP the volume of pain? Have you ever noticed a correlation (not saying cause, here) in your stress levels and your pain?

Conversely, how might a sense of safety, turn DOWN the volume of pain? Even a few simple words from a parent to a child such as “you’ll be okay” often turns down a pain response.

  • Can we learn to notice our breath and what that might tell us about how we feel?
  • Can we find a breath that is supportive for us, when it’s called upon?
  • Can we find a breath that is supportive for for us, when we need rest, find calm, sleep?

There is no right or wrong in this.

Rather, can we find a responsive, flexible breath that supports us for whatever it is we’d like to do? To live in an optimal state of health? As a first step, can be begin to notice this at all?

If you’d like to read in-depth about the breath, yoga therapy, current findings, and research about breath related to pain care, you might check out Chapter 8 by Shelly Prosko, in Yoga and Science in Pain Care – Treating the Person in Pain.

Personally, attention to breath and subsequent practices has had the most influence I find, when working with people who experience persistent pain. Time and time again. Though as Shelly rightly points out “the practices must be individualized to meet the unique needs of the person.” Telling people to take big, deep breaths, may not be ‘the answer’ or ‘the fix’ for everyone which is often what I see out in the main stream media. Suggesting there is some kind of ‘ideal’ breath, for all people, at all times.

I was looking at this tree (pictured above) in my back yard at lunch time today. It sways and flows. Appears strong, yet supple. Not rigid, brittle, tight or constricted. Takes in nourishment, gives back some. Might we be like this tree … A breath in. A breath out. Responding as need be, in any given moment to what life is asking of us.

I’ll be diving into this in more detail with information, a little bit of research and experiential practices in Week 4 of my upcoming online ‘Creating New Pathways‘ course. Want to learn more?

more info here

Interested to learn more about this thing called ‘yoga therapy’? Some FAQ’s plus links for ways yoga therapy can help, information for healthcare providers, where we’re at in terms of current research and yoga, yoga therapy.

Learn more about yoga therapy

Breath Holding, an Inquiry

by Jody, posted in tools - breath
Tofino, BC

I was having a discussion with a client this week about the breath and how we breathe. We were talking about the relationship between our body, our breath and how breath moves in relationship to gravity. The forces of gravity, the loads we feel.

Breath awareness is often a focus in yoga. Both in yoga classes and also in a more therapeutic practice of yoga. We spend a lot of time noticing breath, feeling the breath as it moves. Noticing the length of breath, the inhales, the exhales. Where we feel the breath move, in our body.

Taking a different path, perhaps we can explore how breath might not always be moving, or moving so well. As in when you’re holding your breath. Which you might not readily notice throughout the day, unless you pay attention to it.

The basis of this inquiry is from Donna Farhi’s The Breathing Book (highly recommend the book). She states the purpose of the inquiry being:

To identify the situations and activities in which you most commonly engage in breath holding. We don’t usually recognize how much tension we invest in simple activities such as talking or cooking because we don’t recognize the situation as terribly stressful. You may be surprised and disconcerted to discover that you hold your breath in almost every conceivable situation.

Let’s check this out.

Starting today and for the rest of this week, take notice of when you hold your breath. What you’re doing when you hold your breath. Where you are, who you’re with. Make a mental note, or actually write it down so you don’t forget.

You may notice it when you’re speaking on the phone with someone. Perhaps your boss. Or you may notice it when you’re leaning over to make your bed. Or you may notice you hold your breath when your attention is really focused on something, like when driving down busy streets.

Then, you might want to see if you can change it in some way. Just breathe a little more freely if you can. Try not to judge anything, just notice.

I’ve noticed this pattern of breath holding in myself, particularly, in these days. Before I started wearing a mask I would sometimes catch myself holding my breath as I walked by someone. Or when I felt they were standing too near to me. I suspect there was some fear involved in my response. It’s like I didn’t want to take breath in, at that moment.

We’ll do more specific explorations, next week. And maybe get a little curious about how this might affect or influence pain.

Check back with me on Monday (June 29th) for more. In the meantime, keep noticing.

Dentists, long journeys, work, life. The pause.

by Jody, posted in exercise
sculpture – National Gallery of Canada

A half hour in a dentist chair or a 6 hour drive. Both feel about the same to me.

Why might that be?

Though dentist chairs these days are made to be pretty comfortable, the tension, breath holding that goes on there, remains. At least for me, it does.

A 6 hour drive? Well, though probably not tense I sure can’t move around very much. And for someone with really long legs the cramped space and low seat really does me in.

Now imagine you’re at work, sitting with your laptop in front of you, working on a project that has you so engaged you don’t notice how 4 hours has passed. Or maybe 6 hours. Since you … literally … moved. When you do finally move or stand up your back, neck and shoulders are complaining. A whole lot. You might say to yourself, “ach, this back. Acting up again. When will this pain go away? Probably never. It’s always there, always going to get worse as the years go by.”

Or a similar scenario, but maybe your supervisor is breathing down your back. “Get me those numbers! Why aren’t you finished already? You know how important this is… why is it taking you so long?” I can well imagine those back, neck, shoulder muscles are having a say in how you’re feeling throughout your day, as well.

You might even find it hard to breathe at times. Do you even notice that happening?

What stresses might you have in a day? Why do we call it stress, anyways? Might it be this ‘stresses’ your body, as well as your mind?

What are those little niggly things creating sensations in your body that you’re not really aware of? Not listening to. Paying attention to.

Maybe it’s not the tension, tightness, pucker, hold-your-breath, kind of stress.

It might be more subtle. The slight contraction of your jaw muscles. Shoulders lifting ever so slightly as the minutes are tick, tick, tick, moving along. The gripping of your toes, or perhaps your butt muscles.

What consequences might these create in your body over long – periods – of – time?

This is not to say that all stress is bad. We need to stress the body. That’s why people hit the gym, run for miles on end, love – love – love a sweaty yoga class. Stress can be a good thing. Create a good feeling.

What we don’t want however, is the long – slow – drip by drip – neverending – periods – of – stress.

I bet you notice the BIG periods of stress in your life. Maybe what’s happening right now, for instance. The little, or more subtle ones? Likely not so much.

And if we begin to notice, what might we do to move out of this stress state? Do we have the flexibility, variability to do so?

Pause.

Notice.

Respond.

Repeat. Over and over.

Can we shift, from one state to another? Might we even begin to notice our ‘state of being’?

Difficult. Maybe if we slow down, find some stillness, time or space. Find that pause.

A 4-week Workshop to notice what’s ‘Just Right, For You’.

click here for details or to register

What outcome, or benefit might you expect from attending Pain Care Yoga classes?

by Jody, posted in how to begin, painscience, training

don't lose hope picWell, much like anything, it depends. The answer is rarely straightforward and definitive.

As mentioned in the last post everyone comes in with their own experience of pain,  history,  individual, unique life circumstances. What might be helpful for one, will not likely be the same for another.

Below are a few comments made during a recent class, which illustrates this difference, for each person.

“I slept so much better all last week.”

“I’m not really using my cane anymore. My leg feels stronger, and I have no pain.”

“My back went out last week for a couple of days. I was flat on my back, so I used one of the (breath-awareness-distraction) practices and it really helped me get through it.”

And your back now? – Me

“It’s fine, now.”

“I’m so surprised. Normally I cannot walk around without my shoes on.”

Did you feel pain, while we were doing this (walking exploration, practice)? – Me

“No, I had no pain at all.”

I can’t say what will happen for you, or for another. Most often though, people will begin to experience feelings of calm, safety, less or no pain during class. And, some will begin to transition those responses and feelings into their daily lives.

Like most things in life, what we do, what we practice, we get better at. I would say the same, in this case. If you only practice during our class, for an hour a week, you may not see as much progress, notice as much difference. However, if you do a little, each day, I bet your experience will be similar to these others.

What I highlight to people, from both their comments and experiences is that something changed. To get curious about that, and realize they created the change.

It wasn’t something done to them.

From there, they begin to feel some hope. Perhaps a little empowered and more able to start exploring and learn to self-manage or resolve their persistent pain.

If you’re interested in how this might work for you, the next 6-week series of Pain Care Yoga classes begin at the end of February. I’m also available for one-to-one in-person or ‘zoom’ online sessions and would love to hear from you.

 

What do you do, in yoga classes for people living with chronic pain?

by Jody, posted in exercise, how to begin, painscience, science

one thingThe second question people often ask me about Pain Care Yoga classes, after “who is it that comes to these classes” described here, is “what do you do in them”?

Pain is never just about one thing. You want to know what’s wrong. How you’re going to fix it. And how long it’s going to take. And rightly so, as having long-term pain often changes everything for you and how you live your life.

When it comes to pain, however, it is usually not that simple which is why searching for ‘the thing‘ usually doesn’t work in the long-term. Particularly if you’ve had pain for a long time. Which doesn’t mean to say that it can’t change. It can. We know what can help to bring about change, the best practices research points to.

Two key aspects, education … and movement, are important. So that’s what we do in these classes.

EDUCATION

Some kind of education piece, usually at the start of the class, is provided. I only spend a few minutes on this, but it’s important to do so. One of the most common things I see with people in pain is the fear of moving. If I can help you to understand why it might be safe to move and why it’s important to do so, that’s a good place to begin.

“Current evidence supports the use of pain neuroscience education (PNE) for chronic musculoskeletal (MSK) disorders in reducing pain and improving patient knowledge of pain, improving function and lowering disability, reducing psychosocial factors, enhancing movement, and minimizing healthcare utilization.” [1]

PRACTICE

Then, you practice. You get to experience how you might move, with guidance and guidelines, to learn what’s right for you. Which often won’t be the same as others in the room.

Movement

This is not a typical yoga class with sun salutations, downward dogs, lunges, forward folds, backbends. It is not even what I would call a ‘gentle yoga class’. Yes, we use slow, gentle movements. Yet, sometimes you might begin by just imagining the movement if you don’t yet feel safe to do it. Or you might practice it in your mind, plan out how you might go about it and if it feels right for you. It is always your choice to do or not do anything presented in class. You always get to decide how to move, how far to move, by using a slow, mindful exploration along with guidelines and principles utilized.

Most movements are fairly simple and modifications are always available. You’ll experience a lot of repetition, and rhythmic movements. Movements that cross the midline of the body. Movements that challenge your brain as well as challenging your body.  You, anyone, can really begin wherever you’re at. With what’s right for you.

Breath

There will always be some kind of breathwork or a breath awareness piece in the practice. Again, it’s not so much about controlling the breath, rather what you might notice about your breath. How breath can be an indicator of your physical and emotional state at any given time. Also, learning how breath can help to bring about change to your nervous system, physiology, which can then change your experience of pain.

Awareness

Like breath, awareness is key. So often when you are in pain the last thing you want to do is pay more attention to your body. But in fact, this paying attention is your guide to changing pain. It is in this noticing that you can begin to explore what the signals (or sensations) you feel might be indicating, what might be your unique contributors to pain, what might be the reasons for flare-ups. This practice is not only about noticing your body in class but then also paying attention to your whole self in your environment, in the larger world you live in.

Relaxation

There are many reasons, purposes and benefits to practice relaxation techniques. In most yoga classes this is done at the end of class. Though we’ll also do some kind of formal relaxation practice at the end, relaxation or creating a state of calm is facilitated right from the start.

It is when you are in a place of safety, when you are calm and relaxed, that change is likely to occur. It is this place of calm (a parasympathetic state) when you might first experience a change in your pain. Without this, it’s no different than trying to stretch, exercise, push through and strengthen your pain away, which seems not to work out so well.

If you’re interested in learning more, have any questions or would like to sign up for the next series of classes starting at the end of February, please get in touch here. I’d love for you to experience, how you might learn to change your pain.  Or, if you prefer a one-to-one session, information can be found here.

[1] Adriaan Louw, Kory Zimney, Emilio J. Puentedura & Ina Diener (2016) The efficacy of pain neuroscience education on musculoskeletal pain: A systematic review of the literature, Physiotherapy Theory and Practice, 32:5, 332-355, DOI: 10.1080/09593985.2016.1194646